Value-based Care
Perspective: In the Hospital Supply Chain, Too Many Choices Can Be Costly
24 Nov, 2019 | 20:33h | UTCIn the hospital supply chain, too many choices can be costly – STAT (free)
Choosing Wisely in Pediatric Surgery: Five Things Physicians and Patients Should Question
8 Nov, 2019 | 07:21h | UTCCommentary: Choosing Wisely Examines Pediatric Surgical Practices to Avoid – NEJM Journal Watch (free)
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
[Abstract Only] Study: Early Palliative Care Consultation May Positively Impact the Care of High Risk, Critically Ill Patients
6 Nov, 2019 | 08:31h | UTCEarly Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial – Critical Care Medicine (link to abstract – $ for full-text)
Source: EvidenceAlerts
Related Commentary on Twitter
Breaking @CritCareMed: High-quality RCT in 2 MICUs. Early triggered palliative consult -> more DNRs, more hospice use, fewer MV days & lower ICU cost, all w/o compromising LOS/mortality. https://t.co/kQpTcEgwwM
— Jonathan Yeh (@JonathanYehMD) October 15, 2019
Choosing Wisely in Family Medicine: Thirteen Things Physicians and Patients Should Question
5 Nov, 2019 | 08:32h | UTCThirteen Things Physicians and Patients Should Question – Choosing Wisely Canada (free)
Related: American Academy of Family Physicians: Twenty Things Physicians and Patients Should Question (free)
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Perspective: The Oncology Care Model—Why It Works and Why It Could Work Better: Accounting for Novel Therapies in Value-Based Payment
3 Nov, 2019 | 19:56h | UTCThe Oncology Care Model—Why It Works and Why It Could Work Better: Accounting for Novel Therapies in Value-Based Payment – JAMA Oncology (free for a limited period)
Observational Study: Perioperative Disposable Jackets Not Associated with Reductions in Surgical Site Infections
3 Nov, 2019 | 20:03h | UTCAssociation of Disposable Perioperative Jackets With Surgical Site Infections in a Large Multicenter Health Care Organization – JAMA Surgery (free for a limited period)
Related Commentary on Twitter
Disposable perioperative jackets do not decrease the incidence of SSIs https://t.co/aLTeOT3CWL #NorthwellHealth #PlainviewOrthopaedics #NorthwellOrthopaedicInstitute pic.twitter.com/S58u9TYs1G
— JAMA Surgery (@JAMASurgery) October 23, 2019
Pay for Relationship: A Novel Solution to the Primary Care Crisis
3 Nov, 2019 | 19:53h | UTCPay for Relationship: A Novel Solution to the Primary Care Crisis – NEJM Catalyst (free)
New Enhanced Recovery After Surgery (ERAS) Guideline: Perioperative Care in Total Hip Replacement and Total Knee Replacement Surgery
1 Nov, 2019 | 10:43h | UTCRelated: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
Harnessing Emerging Information Technology for Bundled Payment Care Using a Value-Driven Framework
30 Oct, 2019 | 07:41h | UTC
Viewpoint: Real-Time Benefit Tools for Drug Prices
29 Oct, 2019 | 08:46h | UTCReal-Time Benefit Tools for Drug Prices – JAMA (free for a limited period)
A State-of-the-Art Review Highlighting Medical Overuse in Dermatology, 2017-2018
24 Oct, 2019 | 08:46h | UTCA State-of-the-Art Review Highlighting Medical Overuse in Dermatology, 2017-2018: A Systematic Review – JAMA Dermatology (free for a limited period)
Perspective: How Artificial Intelligence Is Changing Health Care Delivery
23 Oct, 2019 | 08:16h | UTCHow Artificial Intelligence Is Changing Health Care Delivery – NEJM Catalyst (free)
Study: Cascades of Care After Incidental Findings
18 Oct, 2019 | 08:25h | UTCCascades of Care After Incidental Findings in a US National Survey of Physicians – JAMA Network Open (free)
Commentaries: The Important but Rarely Studied Cascade of Care – JAMA Network Open (free) AND Incidental Test Findings and the Burden They Create – MedPage Today (free registration required)
Related: Umbrella Review: Prevalence and Outcomes of Incidental Imaging Findings (free)
Related Commentary on Twitter
"Incidental findings …caused harm to patients and themselves." Results of a national physician survey https://t.co/V4GN1FykbC ("cascades of care") @JAMANetworkOpen by @IshaniG and colleagues @BrighamWomens H/T @zakkohane (origin of term "incidentaloma") pic.twitter.com/ZEcl3EmZwr
— Eric Topol (@EricTopol) October 17, 2019
Educational Review: Preventing Overdiagnosis and the Harms of Too Much Sport and Exercise Medicine
11 Oct, 2019 | 09:37h | UTCRelated: Five warning signs of overdiagnosis – The Conversation (free) AND Overdiagnosis: Causes and Consequences in Primary Health Care (free) AND Screening: How Overdiagnosis and Other Harms can Undermine the Benefits (free) AND WONCA Position Paper on Overdiagnosis and Action to be Taken (free) AND Overdiagnosis: what it is and what it isn’t (free) AND Review: Overdiagnosis Across Medical Disciplines (free) AND Too much medical care: bad for you, bad for health care systems (free)
Perspective: Proactively Catching the Declining Patient
11 Oct, 2019 | 09:34h | UTCProactively Catching the Declining Patient – NEJM Catalyst (free)
Perspective: Focusing Health Care Quality Efforts on High-Need, High-Cost Patients
10 Oct, 2019 | 09:29h | UTCDisappointment in the Value-Based Era: Time for a Fresh Approach? – JAMA (free for a limited period)
Related: Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers – The Commonwealth fund (free) AND Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health – National Academy of Medicine (free PDF) AND Focusing on High-Cost Patients — The Key to Addressing High Costs? – NEJM Catalyst (free) AND Systematic review of high-cost patients’ characteristics and healthcare utilization – BMJ Open (free) AND Effectiveness of interventions for managing multiple high-burden chronic diseases in older adults: a systematic review and meta-analysis – Canadian Medical Association Journal (free) AND Multimorbidity: a priority for global health research – The Academy of Medical Sciences (free) AND The global burden of multiple chronic conditions: A narrative review – Preventive Medicine Reports (free) AND Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review (a few articles per month are free) AND Multimorbidity: clinical assessment and management – NICE Guideline (free) AND Multimorbidity in Older Adults with Cardiovascular Disease – American College of Cardiology, Latest in Cardiology (free) AND Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs (free) AND Playbook: Better Care for People with Complex Needs – Institute for Healthcare Improvement (free)
Perspective: Alternative Payment for Radiation Oncology
10 Oct, 2019 | 09:15h | UTCAlternative Payment for Radiation Oncology – JAMA (free for a limited period)
Waste in the US Health Care System: Estimated Costs and Potential for Savings
8 Oct, 2019 | 10:14h | UTCWaste in the US Health Care System: Estimated Costs and Potential for Savings – JAMA (free for a limited period)
Editorial: Waste in the US Health Care System (free for a limited period) AND Elusive Waste: The Fermi Paradox in US Health Care (free for a limited period) AND Toward Evidence-Based Policy Making to Reduce Wasteful Health Care Spending (free for a limited period) AND Eliminating Wasteful Health Care Spending—Is the United States Simply Spinning Its Wheels? (free for a limited period)
Author Interview: Waste in the US Health Care System: Estimated Costs and Potential for Savings (free audio)
Commentary: The Huge Waste in the U.S. Health System – The New York Times (10 articles per month are free)
Missed Appointments, Missed Opportunities: Tackling The Patient No-Show Problem
8 Oct, 2019 | 10:07h | UTCMissed Appointments, Missed Opportunities: Tackling The Patient No-Show Problem – Forbes (free)
Related: Appointment reminder systems are effective but not optimal: results of a systematic review and evidence synthesis employing realist principles – Patient Preference and Adherence (free) AND Mobile phone messaging reminders for attendance at healthcare appointments – Cochrane Library (free)
Enhanced Recovery After Cardiac Surgery (ERAS Cardiac) Recommendations: An Important First Step—But There Is Much Work to Be Done
4 Oct, 2019 | 08:01h | UTCOriginal Article: Enhanced Recovery After Surgery (ERAS) Guidelines for Perioperative Care in Cardiac Surgery (free guideline and commentary)
Study: More Than Half of Patients with Cancer Receive Intensive Services at the End of Life at a Substantial Cost to Beneficiaries and the Heath System
4 Oct, 2019 | 07:16h | UTC
How to Improve Healthcare Improvement—an essay by Mary Dixon-Woods
2 Oct, 2019 | 22:24h | UTCHow to improve healthcare improvement—an essay by Mary Dixon-Woods – The BMJ (free)
Our Health Systems are Under Pressure. Here are 9 Ways to Remedy That
2 Oct, 2019 | 01:37h | UTCOur health systems are under pressure. Here are 9 ways to remedy that – World Economic Forum (free)
Choosing Wisely: Top 10 Evidence-based Recommendations from the Brazilian Society of Infectious Diseases
1 Oct, 2019 | 00:54h | UTCSee other Choosing Wisely recommendations in infectious diseases: Infectious Diseases Society of America / American Academy of Pediatrics – Committee on Infectious Diseases and the Pediatric Infectious Diseases Society / Australasian Society for Infectious Diseases / Association of Medical Microbiology and Infectious Disease Canada
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Perspective: The Risk and Cost of Limited Clinician and Patient Accountability in Health Care
1 Oct, 2019 | 00:41h | UTCThe Risk and Cost of Limited Clinician and Patient Accountability in Health Care – JAMA (free for a limited period)